RIDER PHARMACY INC
303 Merchant St
Fairmont, WV 26554
304-366-2710
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | WV | AR5100792 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
014225200 | WV | MEDICAID | |
042783001 | WV | MEDICAID | |
OTHER ID NUMBER | 5001019 | OTHER |